Background: Introduced in the 1980s, the neurofunctional approach (NFA) is one of the few
interventions designed primarily for clients with severe deficits following traumatic brain injury
(TBI). Specifically the NFA was intended for those individuals who were limited in their ability to solve novel problems or generalize skills from one setting to another and whose lack of insight
limited their engagement in the rehabilitative process.
Description of the approach: The NFA is a client-centered, goal-driven approach that incorporates the principles of skill learning and promotes the development of routines and competencies in practical activities required for everyday living. Programmes based on the NFA are developed specifically to meet each client’s unique needs, using a range of evidence-based interventions.
Recent evidence: Recently the NFA has been found to be more effective than cognitive-retraining for some individuals with moderate-to-severe TBI who have deficits in activities of daily living. This paper aims to define the core features of the NFA, outline the theoretical basis on which it is founded and consider implications of the findings for rehabilitation after TBI in general. The NFA is highly relevant for clients living in the community who require a case manager to direct an integrated, rehabilitation programme or provide structured input for the long-term maintenance of skills.
This Is What It Is Like to Live With a Brain Injury
When you have an invisible disability, it’s easy for people to forget you’re disabled
It happened when I took dinner over to my neighbors, who’d just brought their bundle of joy home from the hospital days before. As I held their daughter, the mom Jillian asked me: “So when are you going to start having kids?” I knew lots of people wondered. Dan and I had been married several years, and I wasn’t working. We looked to the world like a Mormon couple ready to start a family.
Football Players on NFL’s Brain Damage Admission: ‘About Time’
Harry Carson wasn’t surprised when he heard the news this week that a top NFL official, for the first time, acknowledged a link between football and chronic traumatic encephalopathy (CTE), a degenerative brain disease. Such a common sense remark was long overdue, given the evidence suggesting that such a link exists — from the fact that the brains of 90 of 94 NFL players examined post-mortem by a Boston University neuropathologist were found to have CTE, to the many stories of NFL players descending into the depression and behavioral changes that the disease can cause, with some even committing suicide. Carson, a Hall of Fame linebacker for the New York Giants from 1976 to 1988, felt relief but, above all, vindication. He was diagnosed with post-concussion syndrome back in 1990. Long before football’s concussion crisis became a public health issue in mid to late-2000s, he had argued that head contact from football contributed to his condition.
Brain connectivity disruptions may explain cognitive deficits in people with brain injury
Cognitive impairment following a traumatic brain injury (TBI) is common, often adversely affecting quality of life for those 1.7 million Americans who experience a TBI each year. Researchers at the Center for BrainHealth at The University of Texas at Dallas have identified complex brain connectivity patterns in individuals with chronic phases of traumatic brain injury which may explain long term higher order cognitive function deficits.
Sinister shock: Researcher studies how explosive shock waves harm the brain
Today's warfighters are outfitted with body armor strong enough to withstand shrapnel from a bomb or other explosive device. One debilitating threat from a blast, however, is a force they can't see—the explosive shock wave itself.
"Shock waves travel faster than the speed of sound," said Dr. Timothy Bentley, a program manager in the Office of Naval Research's (ONR) Warfighter Performance Department. "Warfighters physically well protected from shrapnel aren't protected from shock waves. This wave of energy can cause subtle yet damaging effects on the brain."